MAJOR STAKEHOLDERS OF HEALTH CARE SYSTEM

DEEPTHY P THOMAS,

STAKEHOLDER

SHAREHOLDER

DEFINITIONS

“Stakeholders are those entities in the organization’s environment that play a role in an organization’s health and performance or that are affected by an organizational action.”

“ Persons or groups who have vested interest in the clinical decision and the evidence that supports that decision, referred to as stakeholders”

[ AHRQ ]

TYPES OF STAKEHOLDERS

* EXTERNAL STAKEHOLDERS

• provides inputs to organization.

EXTERNAL STAKEHOLDERS

Suppliers, patients, and financial community.

The competitor.

Special interest group

INTERFACE STAKEHOLDERS:

Interface between organization and its environment.

INTERNAL STAKEHOLDERS

almost entirely within the organization and its environment.

PRIMARY STAKEHOLDERS:  They are the beneficiaries or the targets of

the effort

SECONDARY STAKEHOLDERS:

those directly involved with or responsible for beneficiaries or targets of the effort.

KEY STAKEHOLDERS:

people who can devise, pass and enforce laws and regulations

EXAMPLE: NRHM

state health mission.

district health mission.

chief block health officer.

Doctors,nurses,health workers etc at PHC and sub-centre level. ASHA, Anganwadi workers MCH services

Mother and children

MAJOR STAKEHOLERS IN THE HEALTH CARE SYSTEM

STAKEHOLDERS

Health care providers

Public

NGO

Health insurance

Hospital administrators & governing bodies

Government

1. GOVERNMENT

Vision: Availability of quality health care on equitable, accessible, and affordable basis across regions and communities with special focus on under reached population and marginalized groups.

GOVERNMENT

Mission:

primary, secondary and tertiary health care delivery system.

maternal and child health. decrease the incidence of communicable

diseases. population stabilization. training. promote rational use of pharmaceuticals in

the country.

GOVERNMENT At central level

Ensuring high levels of executive management performance.

Ensuring quality of patient care.

Ensuring financial health of the organization.

Formulating policies to guide decision making and action.

Making decisions regarding health.

GOVERNMENT At state level :

Integrating health services. Emphasis on institutional autonomy and

dependency. Plan health care programmes and drawing policies. Provision of medicines.

At district level:

managed by deputy commissioners, civil surgeons, senior medical officers, and district public health nurse.

THE PUBLIC

Health as the right………

2.PUBLIC

3. HEALTH CARE PROVIDERS: Community health care professionals. Doctors of community health centre:

HEALTH CARE PROVIDERS Public health nurses:

HEALTH CARE PROVIDERS Health workers village health guides local dais Anganwadi workers:

HEALTH CARE PROVIDERS Hospital health care professionals: 1. Physician

2. Nurses:

3. Pharmacists:

3. Paramedical personnel:

4. Respiratory technologists.5. Social workers.6. Physiotherapists.

HOSPITAL ADMINISTRATORS AND GOVERNING BODIES

HOSPITAL ADMINISTRATORS AND GOVERNING BODIES

BOARD OF TRUSTEES:

• Mission development .• Ensuring high quality care.• Oversight of finance & staff.• Selection & evaluation of CEO.• Board self -evaluation and

education.

HOSPITAL ADMINISTRATORS AND GOVERNING BODIES: CONTD

The chief executive officer.

Runs institution efficiently, carrying out policies ,addressing health care issues in the community.

The chief finance officer.

Manages the finance,allocates adequate funds according to the needs.

The chief nurse executive.

Serve as clinical leaders and administrators.

NON-GOVERNMENTAL AGENCIES

FUNCTIONS:

Supplementing the work of governmental agencies.

Pioneering.

Education.

Demonstration.

NON-GOVERNMENTAL AGENCIES:

Indian red cross society,1920.

Indian council of child welfare,1952.

All India blind relief society,1946.

Tuberculosis association of india,1939.

Hindu kusht nivaran sangh,1950.

The Kasturba memorial fund,1994.

Professional bodies.

HEALTH INSURANCE

Central government health scheme.

Out-patient care. Hospitalization facilities. Supply of drugs. Lab and x-ray facilities. Emergency department. Family welfare services. Antenatal, natal and postnatal services.

ESI SCHEME:

MANAGEMENT OF STAKEHOLDER RELATIONSHIP

STEPS IN THE MANAGEMENT OF STAKEHOLDERS

diagnose each stakeholder

classify each stakeholder relationship

formulate generic

strategies

implement strategies and

evaluate

identify type of stakeholder

STEPS IN THE MANAGEMENT OF STAKEHOLDERS

Identify type of stakeholder: identify the major stakeholder and recognizes the function depicted to them . Diagnose each stakeholder relationship:

1. Stakeholder potential for threat: 2. Stakeholder potential for co-operation:

Classify each stakeholder relationship: Mixed blessing stakeholder relationship. Supportive stakeholder relationship. Non-supportive stakeholder relationship. Marginal stakeholder relationship.

STEPS IN THE MANAGEMENT OF STAKEHOLDERS

Formulate strategies to reduce stakeholder’s potential to threat:Collaborate cautiously in the mixed

blessing relationship. Involve trustingly in the supportive

relationship.Defend pro-actively in the non-supportive

relationship.Monitor efficiently in marginal

relationships. Implementation of strategies and

evaluation

STAKEHOLDER ANALYSIS

Stakeholder analysis/ stakeholder mapping is a way of determining who among stakeholders can have the most positive or negative influence on an effort, who is likely to be most affect by the effort, and how you should work with stakeholders with different levels of interest and influence.

STAKEHOLDER ANALYSISNeed to identify and analysis stakeholders

It puts more ideas on the table. It includes varied perspectives from all sectors

and the elements of community affected. It gains support for the effort from all

stakeholders by making them as integral part of development, planning, implementation and evaluation.

It saves you from being blindsided by concerns you didn’t know about.

It increases credibility of your organization.

STAKEHOLDER ANALYSIS

High influence

low interest

LATENT

High influence

High interestPROMOTERS

Low influence

Low interestsAPATHETICS

Low influence

highinterestDEFENDERS